{"title":"The digital dilemma in nursing: a critique of care in the digital age.","authors":"Matthew Wynn","doi":"10.12968/bjon.2024.0023","DOIUrl":"https://doi.org/10.12968/bjon.2024.0023","url":null,"abstract":"<p><p>There is an inherent tension between the nursing profession's empathetic, human-centric ethos and the impersonal nature of digital technology. However, digital solutions such as robot carers could offer convenience, dignity and reduced feelings of burden, so there is potentially a significant misalignment between nursing concepts of care and contemporary patient needs. The notion of 'care' should be reconceptualised to include digital advancements, aligning practice with changing patient expectations and technological progress. A strategy to do this could involve a philosophical overhaul of nursing care models, integration of advanced patient-centric technologies, comprehensive education and training, collaborative development of nursing technologies, showcasing successful digital integration and policy advocacy for digital care models. This transformation is essential if nursing is to stay relevant and effective in the digital era, bridging the traditional care and modern healthcare needs while maintaining its core ethic of care.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment trajectories of individuals diagnosed with rectal cancer: an interpretative phenomenological study.","authors":"Catherine Goode, Jacqueline Harley","doi":"10.12968/bjon.2023.0250","DOIUrl":"https://doi.org/10.12968/bjon.2023.0250","url":null,"abstract":"<p><p>Rectal cancer affects almost every aspect of an individual's daily life. However, there are gaps in understanding the complete spectrum of experiences spanning from diagnosis to recovery. Therefore, the aim of this study was to explore the treatment trajectories of individuals diagnosed with rectal cancer. Adopting an interpretative phenomenological approach, seven participants were recruited using purposive sampling. Data were collected using semi-structured, in-depth interviews that were digitally recorded, transcribed and analysed using thematic analysis. Study rigour was established following the four-dimension criteria of credibility, dependability, transferability and confirmability. Four prominent themes emerged from the participants' experiences of undergoing rectal cancer treatment: uncovering the inner battles; navigating the physical challenges; anchors of support and conquering the summit. These findings contribute to knowledge and practice by highlighting the importance of providing a comprehensive and individualised treatment plan for individuals that takes account of the physical and psycho-emotional implications of rectal cancer treatment.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Injectable antiretroviral therapy: best practice guide for nurses providing care to people living with HIV.","authors":"Linda Panton","doi":"10.12968/bjon.2024.0146","DOIUrl":"https://doi.org/10.12968/bjon.2024.0146","url":null,"abstract":"<p><p>Oral antiretroviral therapy (ART) is extremely effective, allowing people living with HIV to have a normal life expectancy. Most treatments consist of oral tablets that must be taken at the same time every day for the rest of an individual's life. For a variety of reasons, some people cannot adhere to a daily regimen, resulting in a deterioration in their health. The introduction in 2021 of long-acting injectable ART has provided an alternative option for those who would prefer not to take oral therapy. This article provides an overview of the practicalities and challenges of setting up nurse clinics to administer these injections. It also highlights how this type of treatment has improved the quality of life for people receiving them. HIV nurse specialists are leading the way in delivering this innovative new treatment, and the article concludes by discussing which patients may benefit from injectables in the future. This guide is aimed at nurses who work within the HIV field or are supporting this treatment in other settings, for example in outpatient parenteral antimicrobial therapy (OPAT) services.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The NHS Constitution: a touchstone or out of touch?","authors":"John Tingle","doi":"10.12968/bjon.2024.0150","DOIUrl":"https://doi.org/10.12968/bjon.2024.0150","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attracting young people into nursing.","authors":"Sam Foster","doi":"10.12968/bjon.2024.0155","DOIUrl":"https://doi.org/10.12968/bjon.2024.0155","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claire L Whitehouse, Helen Hall, Mehar Shiju, Jonathan Webster, Jonathan Yazbek, Siobhan Parslow-Williams
{"title":"Exploring the sustainable impacts of a clinical healthcare research scholarship programme.","authors":"Claire L Whitehouse, Helen Hall, Mehar Shiju, Jonathan Webster, Jonathan Yazbek, Siobhan Parslow-Williams","doi":"10.12968/bjon.2024.0035","DOIUrl":"https://doi.org/10.12968/bjon.2024.0035","url":null,"abstract":"<p><strong>Background: </strong>The NHS is the first public body globally to commit to net zero.</p><p><strong>Aim: </strong>This study aimed to explore the environmental sustainability impact of a hospital scholarship programme.</p><p><strong>Method: </strong>A sustainable quality improvement value framework was used to measure the programme's environmental, social and financial effects.</p><p><strong>Results: </strong>The social impact through face-to-face contact was most valued by scholars; there were also savings in carbon emissions and costs.</p><p><strong>Discussion: </strong>Training in sustainability is essential for the workforce but little infrastructure and expertise are available within organisations to support staff to provide sustainable healthcare in day-to-day practice.</p><p><strong>Conclusion: </strong>Sustainable healthcare should be supported by education and national guidance and implementation plans should be drawn up to this end. The social impact of the framework used is often seen as less important than its environmental and financial components; however, as its value to scholars illustrates, the components are intertwined and should be considered of equal importance.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiovascular disease, medication regimens and HIV in pregnancy: new research relevant to nurses.","authors":"Helen E Reynolds","doi":"10.12968/bjon.2024.0144","DOIUrl":"https://doi.org/10.12968/bjon.2024.0144","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Engagement and investment: two pillars to support nursing.","authors":"Ian Hodgson","doi":"10.12968/bjon.2024.0149","DOIUrl":"https://doi.org/10.12968/bjon.2024.0149","url":null,"abstract":"","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A mixed-methods exploration of the nursing associate role, programme experiences and future career pathways.","authors":"Pauline Morgan, Joseph De Lappe, Neil Summers","doi":"10.12968/bjon.2023.0246","DOIUrl":"https://doi.org/10.12968/bjon.2023.0246","url":null,"abstract":"<p><p>This article reports on a small mixed-methods research project undertaken with trainee nursing associates (TNAs) in the south of England.</p><p><strong>Aim: </strong>The aim was to gain insight into the motivation behind undertaking the nursing associate (NA) programme, how the NA role is perceived by service users and the wider healthcare team, and the future career pathways of NAs.</p><p><strong>Methods: </strong>Online questionnaires (<i>n</i>=14) and online focus groups (n=6).</p><p><strong>Findings: </strong>The results suggested undertaking the NA programme increased the TNAs' confidence and ability to use evidence to support their practice; that the role of the NA is not well understood. Some TNAs perceived the NA role as a distinct professional role, whereas others saw it as a way into registered nurse training.</p><p><strong>Conclusion: </strong>Role confusion still exists. Research is needed to capture how professional identities in new health and social care professional groups become established.</p>","PeriodicalId":35761,"journal":{"name":"British Journal of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}